Thorax 68:498 doi:10.1136/thoraxjnl-2012-202420
  • Chest clinic
  • Images in Thorax

Focal pulmonary oedema: an unusual presentation of acute mitral regurgitation

  1. Kevin S Channer1
  1. 1Department of Cardiology, Royal Hallamshire Hospital, Sheffield, UK
  2. 2Medical Physics Group, Department of Cardiovascular Science, University of Sheffield, Medical School, Sheffield, UK
  1. Correspondence to Dr David R Warriner, Medical Physics Group, Department of Cardiovascular Science, I Floor, University of Sheffield, Sheffield S10 2JF, UK; d.r.warriner{at}
  • Received 13 July 2012
  • Accepted 20 September 2012
  • Published Online First 31 October 2012

A 46-year-old man presented with dyspnoea, haemoptysis, orthopnoea and a pan-systolic murmur. His chest radiograph (see figure 1) demonstrated asymmetric pulmonary infiltrates, predominantly affecting the right-upper lobe. He was diagnosed with lobar-pneumonia but failed to improve with antibiotic therapy. Echocardiography subsequently demonstrated severe mitral regurgitation (MR), directed towards …

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